Necrotizing enterocolitis

  • Prematurity

    Preterm birth is defined as any birth before 37 completed weeks of gestation (37+0). It has been estimated to account for up to 11 % of all births. Preterm birth is a substantial cause of neonatal and pediatric morbidity and mortality. Prematurity is the single most important cause of death in the…

  • Polycythemia

    Polycythemia is defined by venous hemoglobin concentration > 220 g/l or by hematocrit value > 0.65 during the first week of life. It correlates clinically with hyperviscosity syndrome. The common causes: chronic intrauterine hypoxia twin-twin transfusion syndrome in monochorionic-diamniotic twins (recipient twin) excessive placental transfusion Diagnosis Clinical signs dictated by the severity of hyperviscosity syndrome (infant…

  • Necrotizing enterocolitis

    Necrotizing enterocolitis (NEC) belongs to acute abdomen events (inflammatory subgroup). It is typical disease of extreme prematurity – incidence is inversely proportional to advancing gestational age (1-5% of newborns admitted to the neonatal intensive care unit). Mortality associated with NEC varies between 20-50%. Multifactorial basis of NEC makes it difficult to pinpoint single…

  • Acute abdomen

    Acute abdomen events arise from a number of diseases based on the predominant pathophysiology. They require urgent revision. Basic division of acute abdomen in newborns: congenital gastrointestinal malformations non-inflammatory→ ileus of prematurity (IOP)→ spontaneous intestinal perforation (SIP)→ incarceration of inguinal hernia→ testicular torsion (unilateral orchidectomy) inflammatory→ necrotizing enterocolitis (NEC)→ peritonitis (usually…